ABSTRACT
Background: Placenta praevia refers to a placenta that is Inserted either completely or partially in the lower uterine segment. In placenta praevia, placenta is implanted in the lower uterine segment within the zone of effacement and dilatation of cervix, resulting in obstruction to decent of the Presenting part. The aim of this study is to find out the maternal and fetal outcome of Placenta praevia in term pregnancy. Material & Methods: This is an observational study. The study used to be carried out in the admitted patient’s Department of obstetrics and gynecology, Dhaka Medical College and Hospital, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2013 to June 2013. The duration of the period from Data was entered in MS Excel and Statistical analysis was done using SPSS 24 version. Results: This study shows that Maternal age range was 18 to 45 years and the commonest age group of placentas previa was 25-29 years (60.0%). Four percent were between 20-24 years age group. Twenty percent were more than 35 years of age. Conclusion: The study subjects were selected only who were found high maternal morbidity and perinatal mortality which was 8% due to placenta preavia. So, the observed result of this study might not reflect the expected real outcome. In population therefore further prospective studies with a large sample should be carried out for comprehensive evaluation of placenta Preavia on maternal and neonatal outcome.
ABSTRACT
Background: Patients with Coronavirus Disease (COVID-19) have a significant death rate due to comorbid diseases. As a result, identifying risk factors associated with poor outcomes in COVID-19 patients is important. Objective: The aim of this study was to evaluate the admission and outcome status of the patients confirmed with Covid-19.Material & Methods:This cross-sectional study was conducted at Mugda Medical College & Hospital, Dhaka, Bangladesh during the period from April 2020 to September 2020. Total 205 patients with covid-19 were included in this study. Collection of data were checked and cleaned. After cleaning, the data were entered into computer and statistical analysis of the results being obtained by using windows-based computer software devised with Statistical Packages for Social Sciences version 24.Results:In this study among 205 patients. Most of the study people 41(20.0%) confirmed with covid-19 were admitted in September 2020. Followed by 20(9.76%) in April 2020, 33(16.09%) in May 2020, 35(17.07%) in June 2020, 38(18.53%) in July 2020, 37(18.04%) in August 2020 and 41(20.0%) in September. 23(11.21%) highest death with covid-19 were admitted in July 2020. Most of the patients 104(50.73%) were discharged with advice and 101(49.26%) patients had expired. Out of 101 expired patients 92 (91%) had comorbidities. The most common comorbidity amongst ICU admitted patients was respiratory syndrome (55 in number) and least common was hypertension (6 in number).Conclusions:The death rate for COVID-19 hospitalized patients is 49.26%. The most prevalent comorbidities in individuals who died as a result of COVID-19 were respiratory syndrome, chronic kidney disease, hypertension, cardiovascular disease, and diabetes.